Lyndon B Johnson Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Lyndon B Johnson Hospital, Houston, TX in 2024, from traditional Medicare claims. Back to the Lyndon B Johnson Hospital profile, with quality ratings, finances and negotiated rates.
254
Medicare inpatient discharges
In 12 published DRGs
2.06
Case mix index
IPPS FY 2027
6%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
556
Medicare outpatient services
In 11 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases83 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 51 | $54,321 | $128,891 | $36,449 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 16 | $111,603 | $146,940 | $74,886 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $25,443 | $122,325 | $17,072 | 1.03 |
Respiratory system48 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $42,692 | $124,146 | $28,646 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $30,617 | $117,773 | $20,544 | 1.10 |
Circulatory system46 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 46 | $29,615 | $121,092 | $19,872 | 1.28 |
Endocrine, nutritional and metabolic28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Diabetes with CCMS-DRG 638, medical | 14 | $19,473 | $123,937 | $13,066 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 14 | $35,790 | $125,347 | $24,015 | 1.32 |
Kidney and urinary tract27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $28,640 | $121,686 | $19,217 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 12 | $23,169 | $124,018 | $15,546 | 1.02 |
Nervous system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 11 | $35,582 | $111,836 | $23,876 | 1.02 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $19,817 | $119,456 | $13,297 | 0.90 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 278 | 243 | $14,645 | $2,011 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 55 | 31 | $5,777 | $1,492 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 54 | 50 | $6,309 | $968 | $1,220 |
| Level 2 Urology and Related ServicesAPC 5372 | 33 | 28 | $1,716 | $487 | $502 |
| Level 1 Endovascular ProceduresAPC 5191 | 27 | 26 | $6,946 | $2,164 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 25 | 24 | $16,368 | $2,342 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 23 | 20 | $15,232 | $1,393 | $1,445 |
| Level 1 Intraocular ProceduresAPC 5491 | 21 | 15 | $11,378 | $1,714 | $1,752 |
| Level 3 Endovascular ProceduresAPC 5193 | 15 | 15 | $36,073 | $8,528 | $8,874 |
| Level 3 Lower GI ProceduresAPC 5313 | 14 | 13 | $8,228 | $2,082 | $2,176 |
| Level 2 Intraocular ProceduresAPC 5492 | 11 | $16,912 | $2,997 | $3,116 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.